Chapter 418 Hear the Light Spots with Your Ears?

Elder Gushan screamed. There was a small commotion among the barbarian crew members gathered in a circle around the hospital bed.

"Can't it be treated directly..."

"Yes, we elders treat it directly every time..."

"It hurts so much, why do you still press..."

Gretel didn't even need to look back to know that they were murmuring and questioning him. Perhaps, he was a little annoyed because he had caused the elder's pain.

Fortunately, these doubts are limited to rhetoric. Whether it was because he had cured several people, or because Ms. Silver Dragon was there to hold the line, in short, no one scolded him, and no one came to take action. Thank God, Amitabha.

The only intervention was Ms. Yinlong, who poked her head and asked curiously:

"Hey little guy, what are you pressing?"

"Let me see what's wrong with him..."

The voice became lower and lower, turned into a murmur, and then turned into a silent murmur. Never be the pancreas, never be the pancreas, never be the pancreas...

If you have tight right upper abdominal muscles, tenderness in the right upper quadrant, or severe pain after meals, you should first consider a problem with the gallbladder or pancreas. However, he can still survive even if his gallbladder is removed. If his pancreas is removed, he doesn’t have insulin on hand!

If it really comes to that point, boss, your healing skills must be great! Even if the pancreas is necrotic, it must be saved!

Gretel continued to palpate while praying. The liver is normal size, the gallbladder...the gallbladder feels a little off. As for the pancreas, the pancreas is located relatively deep and cannot be touched by touch.

Gretel changed his hand and placed the palm of his left hand flat on the old man's upper right abdomen. He raised the pad of his thumb and pressed it on the gallbladder point under the right rib. He ordered in a deep voice:

"Breathe deeply!—breathe in!"

……no response. The old man twitched in pain and ignored him...

"Breathe!" Someone behind him repeated the command. The voice was clear, high-pitched, and there was no doubt that it was the voice of Ms. Silver Dragon that he had heard so well these days. The elder trembled, and instinctively followed the command, taking a deep breath——

The diaphragm muscle moves downward and the abdomen bulges, driving the gallbladder downward together. Moving halfway, he touched Grete's waiting thumb, and a sharp pain immediately came.

The old man had cold sweat on his forehead and instinctively held his breath. The belly that had just swelled was frozen in place, and even shrank slightly.

Grete breathed a huge sigh of relief. Murphy's sign is positive, typical Murphy's sign is positive. With these signs, acute pancreatitis can be ruled out. Basically, it is certain that it is a gallbladder problem!

"Little mage, do you see what the problem is?" Behind him, Ophelia asked with a smile. Grete nodded slightly:

"It's tentatively confirmed. I'll check it out in detail."

He continued to press along the patient's right upper abdomen. Just because it is diagnosed as a gallbladder disease does not mean that we can stop there.

Cholecystitis itself will have a lot of complications. Besides, other diseases may also occur at the same time. For example, cholecystitis combined with acute appendicitis is not uncommon——

There was no abnormality in the left upper quadrant physical examination!

Physical examination of the left lower abdomen showed no abnormality!

Physical examination of the right lower quadrant showed no abnormality!

The sphygmomanometer has not come out yet, the electrocardiogram has not come out yet, and routine blood tests cannot be done... OK, then the next step is X-ray and B-ultrasound...

By the way, can B-ultrasound and X-ray be done under hospice surgery?

Grete quickly turned his brain. X-ray can definitely be done, he has tried it many times. The principle of tranquility, and similar magical arts, is roughly equivalent to cutting off the pain perception of the central nervous system, and imprisoning the limbs, making people unable to move. As for whether the muscles can still work...

The recipient can still breathe normally. During previous laparotomy surgery, he also felt the force of muscle tightening. It can be inferred from this that the control of nerves to muscles should not be completely cut off, and the digestive tract and other things can also move normally?

At least the smooth muscles are still working normally, well, that shouldn't affect the B-ultrasound detection. As for whether magic and magic interfere with each other, that is another issue.

"Madam, please take away the pain for him." He half-turned around and nodded slightly back. Then he touched his chest pocket, pulled out the [Endless Ink Pen], and stuffed it under the old man's body...

…

…

Can't see anything clearly...

Obviously, Elder Gushan's professional level has far exceeded level four.

In other words, with the circle of patients that Grete is currently exposed to, the [Endless Ink Pen] is almost not enough, and it is time to replace the X-ray light source with a cannon.

Now, in front of Ms. Silver Dragon, is it appropriate to borrow a headdress from her niece?

Will he be treated as a scammer?

Grete hesitated for a moment and decided to do a B-ultrasound first. Fortunately, there is no level limit for B-ultrasound. Just apply glycerin and put it on your fingertips, and there will be immediate feedback in the meditation environment.

"Huh?"

The two silver dragons looked at each other. Serira's ears stretched outward, and before she knew it, she had revealed the shape of a dragon; Ophelia didn't appear to have dragon ears, but she couldn't help but take a step forward, and with the naked eye, the air outside the auricles, Thin ripples appeared in circles.

"What did you hear?"

"sound."

"Yes, it's a very sharp, very weak sound... Can you tell where there is a disease just by relying on this sound?"

The aunt and nephew looked at each other and couldn't explain why. Ophelia took advantage of Gretel's unpreparedness and secretly released a sound amplification magic, transmitting the voice directly to her ears:

"The echo of the liver parenchyma is enhanced, and the light spots in the liver are thick and uneven, with spots... The bile duct wall is rough and thickened, and the echo is enhanced... The gallbladder is enlarged, the gallbladder wall is thickened and rough, and no stones are found... There is a ring around it Hypoechoic area...no obvious abnormalities in the spleen and pancreas...no abnormalities in both kidneys...intestine...bladder...pelvis..."

I didn't understand anything except "nothing unusual". And, since the identification is based on sound, why does he talk about things like light spots and thickening?

Ophelia's curiosity aroused. Otherwise, go back and discuss with him, teach him more magic, and use this method of diagnosing the disease with sounds?

She was taking stock of the inventory and thinking about how many magic spells could be exchanged. Gretel had already wiped off the glycerin used for B-ultrasound and turned around. His eyes were solemn and slightly worried:

"It should be cholecystitis. Acute, acalculous cholecystitis. It hurts like this. Considering the course of the disease, perforation is considered -"

"Is there something wrong with your courage? It can be cured!" Ophelia was anxious to discuss spells with Gretel, and the healing spells were thrown away. One, two——

"Huh? Why aren't you healed yet?"

"...I haven't finished speaking yet." Gretel wiped his sweat:

"His gallbladder is unlucky and has formed gangrene. The treatment needs to be more intensive, and after it is cured, it is recommended to drain some bile to see. I suspect there are other problems -"